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General NPI Number Information
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NPI Number | 1073798237
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Entity Type | Individual
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Provider Name | MARTIN ANDREW REINA RT (R) (MR)
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Gender | Male
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 363 E BADILLO ST
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City | COVINA
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State | CA
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Zip | 91723-2208
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Country | US
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Telephone | 626-484-0202
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Fax | 714-688-5559
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Provider Business Mailing Address
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Address Line | 363 E BADILLO ST
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City | COVINA
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State | CA
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Zip | 91723-2208
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Country | US
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Telephone | 626-484-0202
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Fax | 714-688-5559
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number | RHT 47323
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License Number State | CA
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